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Individual

DR. SANJEEVA H RAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
232 W 2ND ST, JACKSON, GA 30233-1907
(770) 775-4334
(770) 775-2787
Mailing address
232 W 2ND ST, JACKSON, GA 30233-1907
(770) 775-4334
(770) 775-2787

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
018723GA
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00299989A
GA
Enumeration date
09/27/2006
Last updated
05/02/2008
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